Establishment of education system based on the regional health promotion activity to prevent life style-related diseases in children

本研究的目的是建立以学校为基础的儿童健康促进系统。小学(1177人)和初中(1064人)的男孩和女孩参加了这项研究。评估的项目包括：(1)身高、体重和身体成分，(2)生化和激素指标，(3)与生活方式有关的因素，如食物和锻炼等。对于肥胖的评估，超重百分比标准比BMI(身体质量指数)更可靠，尤其是在儿童时期。血脂水平存在显著的地区差异，这表明除了遗传原因外，干预和教育似乎对改善儿童血脂异常是有效的。脂肪衍生激素瘦素与体重和超重程度显著相关。瘦素被证明是肥胖的指标之一，即使在儿童中也是如此。在饮食行为和最喜欢的食物上存在性别差异，这些都是从小就存在的。随访研究证实了健康促进活动在研究中的有效性。建议以学校为基础的预防生活方式相关疾病的系统对小学和初中的男孩和女孩都有效。

The purpose of the study was to establish a school-based system for health promotion in childrdn. Boys and girls in elementary schools (1177) and junior high schools (1064) joined the study. The following items were assessed: (1) body height and weight, and body composition, (2) biochemical and hormonal markers, (3) life style-related factors such as foods and exercise, etc. For assessment of obesity, percentage of overweight for the standard was shown more reliable than BMI (body mass index) especially in childhood. There were significant regional differences in serum lipid levels, suggesting that in addition to genetic causes intervention and education seemed effective to improve dyslipidemia in children. Fat-derived hormone, leptin, was significantly related with body weight and the degree of overweight. Leptin was demonstrated as one of the indicators for fatness even in children. There were gender differences in eating behavior and favorite foods already in childhood. Follow-up study demonstrated efficacy of the health promotion activity in the study. The school-based system for prevention of life style-related diseases is suggested effective for boys and girls in the elementary schoolas well as junior high school.